Get Medical Information Form

Completing the Medical Information Form online is a straightforward process that helps ensure your medical needs are addressed during your journey. This guide provides step-by-step support to help you accurately fill out the form and submit it safely.

Follow the steps to successfully complete your Medical Information Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the tour name and departure date in the designated fields to specify your travel details.
3. Fill in your personal information including your name, birthdate, street address, city, state, and zip code. Ensure that all information is accurate and complete.
4. Provide your home and work/cell phone numbers to ensure you can be contacted if necessary.
5. Input the emergency contact's name, their relationship to you, and their phone numbers. This individual should not be traveling with you on the same tour.
6. List your medical insurance carrier to ensure coverage in case of emergency.
7. Enter your primary physician's name and their contact information, so they can be reached if needed during the trip.
8. You will be prompted to rate your current health status. Choose the option that best reflects your condition.
9. Detail any medical conditions you have, no matter how small, to keep your tour organizers informed.
10. Indicate any known allergic reactions to food or drugs by listing them clearly.
11. If you will be taking medication on tour, select 'Yes' and provide information about each medication including generic name, dosage, purpose, and whether it is vital.
12. If you have additional medications, use the space provided on the reverse side of the form.
13. For any comments or additional information, use the comments section to communicate other health-related matters.
14. Authorize Good Times Travel to share your medical information with tour directors for emergency purposes by signing and dating the acknowledgment section.
15. Once you have filled out all sections, save your changes and choose to download, print, or share the form as needed.

Complete your Medical Information Form online to ensure a safe and enjoyable travel experience.